Billing Rejection Specialist

Key Responsibilities

• Clearinghouse Monitoring: Daily review and management of clearinghouse portals to capture, sort, and action front-end rejections.

• Direct Payer Communication: Contact insurance companies directly via phone or web portals to investigate complex claim rejections, verify active patient eligibility, and check benefit coverage details.

• Root Cause Analysis: Investigate why claims were rejected by the clearinghouse or payer, distinguishing between demographic errors, missing insurance details, coding discrepancies, and provider credentialing mismatches.

• Claim Correction & Resubmission: Efficiently update and correct patient demographics, insurance policy numbers, CPT/ICD-10 codes, and modifiers within the practice management or EHR software before resubmitting.

• Cross-Functional Collaboration: Partner with internal staff and internal medical coders to address data capture errors and help prevent recurring rejections.

• Tracking & Reporting: Maintain accurate logs of rejected claims, common rejection trends, and resolution turnaround times, providing visibility to billing management.

Qualifications & Skills

• Experience: 1 to 3 years of professional experience in medical billing, revenue cycle operations, or high-volume healthcare administration.

• Technical Proficiency: Hands-on familiarity with major clearinghouses and electronic health record (EHR) / practice management software (e.g., Waystar, Cortex, Epic, Athenahealth, eClinicalWorks, NextGen).

• Data Accuracy: Exceptional attention to detail with strong alphanumeric data entry and verification skills.

• Industry Knowledge: Solid foundational understanding of medical terminology, health insurance structures (Medicare, Medicaid, Commercial), and CMS-1500 claim formats.

• Problem-Solving & Communication: Strong telephone etiquette and interpersonal communication skills for effective payer outreach, alongside analytical capability to diagnose billing errors independently.

• Shift Flexibility: Proven ability and commitment to reliably work the 6:00 PM to 3:00 AM IST night shift schedule.

Education & Credentials

• High school diploma or equivalent required; Associate's degree or general background in healthcare administration or medical billing preferred.

Shift: Night Shift (6:00 PM – 3:00 AM IST)-Remote India

About Us

The mission of Harris Global Business Services (GBS) is to exclusively serve Harris BUs across all verticals as a turn-key Center of Excellence for global offshoring in different countries around the world. GBS offers services to support Harris BUs in recruiting, hiring, onboarding, training and retaining highly qualified employees based on BU requirements. We are currently building new or expanding existing offshore teams in Costa Rica, India and Bolivia.

GBS creates a customized recruitment campaign to hire Harris FTEs across the full spectrum of services, including R&D, Customer Support, Professional Services and Sales roles, along with corporate services including Finance, CIT, M&A, HR, Payroll, Compliance and Legal. We are committed to supporting our diverse, highly skilled, multi-national workforce with an outstanding corporate culture and strong engagement initiatives for all employees.

GBS was created based on the staff augmentation model developed by Harris Computer in Costa Rica. Incorporated in October 2020, Harris Adelante Servicios SRL currently supports more than 12 business units with 50 employees working across all vertical markets, including Harris Healthcare, Public Sector, Utilities and Quebec groups.